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Mache Seibel, MD

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How To Lose Weight In Menopause And Keep It Off

Posted: 10/19/2012 8:23 am

The most common concerns expressed by my menopausal and postmenopausal patients are how easy it is to gain weight and how hard it is to lose weight. It's a real challenge, so much so that many women believe menopause causes a shift in the body that makes it impossible to lose weight. But is this really the case?

A recent study tried to answer the question by examining the eating habits of 419 overweight and obese menopausal and postmenopausal women.

Some women were encouraged to make eating behavior changes through regular meetings with nutritionists, exercise physiologists and psychologists while the other "controls" received only limited health education.

After four years, 57 percent of the postmenopausal women encouraged to make lifestyle changes maintained at least a 5-pound weight loss compared with 29 percent of the controls.

What food changes worked best to get weight off and to keep it off? Eating more fruits and vegetables but fewer desserts and sugar-sweetened drinks, as well as less meat and cheese, were key.

I know you've probably heard this before. But now it's a proven fact. And so is the reality that increased weight affects most menopausal women, and that this increases the chances of high blood pressure, heart disease, diabetes and arthritis, particularly of her hips and knees.

The other thing that this study suggests: As you enter menopause and beyond, the rules for weight control are really the same as they are before menopause.

So how can you best use this information? Here are five steps you can easily take to lose weight in menopause and keep it off.

1. Make time to exercise daily. You don't have to run a marathon. Just 30 minutes daily walking or gardening or dancing. It doesn't even have to be at the same time -- add the times together for a total of 30 minutes.

2. Talk with a nutritionist. You'll be amazed at the stuff in your refrigerator and cabinets that isn't good for you that can be swapped out for healthier choices.

3. Keep the soda and sweetened juices out of the house. Try seltzer water with a lemon or lime wedge. So refreshing!

4. Keep fruit in a bowl in plain view. You'll be amazed at how it encourages snacking on them (and keep sweets out of view or better out of the house and use only as a treat). I love to snack on sliced apples flavored with cinnamon.

5. Pick a partner to exercise or walk with and pick a time to do it. It will become part of your schedule and, therefore, much more likely to do.

Click here for a free healthy recipe from my cookbook, Eat To Defeat Menopause.

 
 
 

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The most common concerns expressed by my menopausal and postmenopausal patients are how easy it is to gain weight and how hard it is to lose weight. It's a real challenge, so much so that many women b...
The most common concerns expressed by my menopausal and postmenopausal patients are how easy it is to gain weight and how hard it is to lose weight. It's a real challenge, so much so that many women b...
 
 
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HUFFPOST SUPER USER
lauriemann
Web geek, skeptic, SF fan, movie extra
05:34 PM on 11/11/2012
Keep walking and eat carefully. I've lost 65 pounds since I was 39. I'm 55 now, and while I'm still fat I'm no longer obese. Find an activity you like, like walking, and stick with it.
10:27 AM on 10/27/2012
I'm glad to see many of these comments are positive. I have found the info in this article to be true, adding the fact that changing ones lifestyle is also important. Most people who are type A never slow down and this works against us as we age. It's out of balance. We do better when we conserve our energy and consider these tips of eating more vegy's and less meat and dairy. Processed foods are always a no-no as well -- such as bread and carbs. THey just add more sugar to the diet, more unwanted calories. For more information or to contact me you can go to my website at: www.acupunctureenergyworks.com
12:18 PM on 10/24/2012
In my opinion, male doctors are clueless about how women's hormones affect their metabolism and what happens during perimenopause that changes the whole equation. I never had a problem with weight my whole life. Then came perimenopause and suddenly it felt like someone was blowing me up like a balloon and there was nothing I could do to stop it. Tried eating less and excercising more, cut all the bad carbs...nothing worked. You know why? Because my estrogen was probably going through the roof and I had estrogen dominance. That increases fat storage which then starts a vicious cycle of weight gain. Did my male doctor tell me this? NO. I had to read books etc and figure it out for myself because doctors are clueless!
04:53 AM on 10/22/2012
I would like to add just one more tip that is not to measure your weight on daily basis it really hurts you :-((
07:25 AM on 10/20/2012
What a great article because that be me! But I found when I only walked (brisk and non-brisk) and mildly changed my eating style, my middle section was still flabby, so were my arms. I lost weight, but I plateaued very quickly. I bumped it up....I started doing HIIT, using light/heavy weights, and incorporated yoga. I now have an active metabolism...it it sizzles. I have energy!
Now to food, I discovered I had too much processed food and sugar in my daily eating life. So a tweak here/there, adjusted the taste buds, incorporate way more delicious veggies/fruits/omega 3's type foods and dropped meats (pork,chicken,beef). I take a whole food muti and take vit D in the winter. I have maintained a healthy weight for over five years...and lastly no hot flashes, unless I drink too much black coffee. I am a blessed woman. :-)
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lauriemann
Web geek, skeptic, SF fan, movie extra
08:52 PM on 10/19/2012
Walk more, eat less, lose weight slowly. I'm the world's worst dieter and I'm down 65 pounds over 17 years. Still don't like most fruits and vegetables, but I'm trying.
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SansSouci572
03:53 PM on 10/19/2012
I would like to have this person's writing job--getting paid to write random things you know about. That would be cool, sit in your pj's and write" Lose weight, exercise and eat less!
No sugar for you! "
03:02 PM on 10/19/2012
Except for over-eating fruit, it sounds like a pretty good plan. I actually work out a total of one hour a day (30 minutes in the morning and 15 minutes before lunch and dinner). And I don't snack, once you get used to it, it's easy. I eat three meals a day, which gives your body a chance to use up what you eat and get to work on what you have stored. And finally, the weight is starting to come off again.
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Yogamum
Nature girl
02:51 PM on 10/19/2012
Although I don't have a weight problem, I have noticed (now that I'm 52) that my weight fluctuates wildly - so I can be up to 5 lbs more or less in a given week.
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littlepuffycloud
I propose a toast to my self control...
02:01 PM on 10/19/2012
Replacing processed sugar with fruit, portion control and a daily 30-45 min walk with my dog were the key to losing nearly 20 pounds over 14 months and keeping it off. In the last 5 years, my husband and I (we're both 56) have probably had red meat 3 times, but we still love and eat Swiss cheese. A body in motion tends to stay in motion.
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srj
01:16 PM on 10/19/2012
Whatever. Whenever I increase my exercise, it just makes me hungrier.
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mmvernes
Catty and Chatty
02:59 PM on 10/19/2012
me too!
08:27 AM on 11/26/2012
Me too!! I had to quit Jazzerise because, after an hr sessions, I go hungry and crazy!!
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Ksmitchell
My ideals are loftier than my deeds
12:23 PM on 10/19/2012
These tips are great but I have found eating nuts and eliminating breads from my life have dropped the weight off considerably. Just substitute healthy nuts for bread products. Of course eat more fruits and veggies. I was a carb fiend so I upped the protein and I am less hungry.
12:04 PM on 10/19/2012
""" But now it's a proven fact. """ Huh? Because of one study? Uh, okay.

Metabolism changes during/after menopause. No study needed; just ask most women. And for women who are given estrogen (the FAT-STORING hormone), the change is even worse.

Sticking to proteins, fats and a small amount of complex carbs as well as eating MUCH LESS is all that has worked in my experience.
sunnydee07
"Your micro-bio is empty". Yes, yes it is.
11:35 AM on 10/19/2012
Well, that was helpful *snark*

All this doctor has done is run through the basics that anyone who is trying to maintain or lose a little weight already knows. There is nothing in this article that addresses the specific changes to your body that occur during menopause and how that may affect your ability to lose weight.

If these basic rules work, Dr., then why are so many menopausal women having issues with this now, when they didn't pre-menopause? It also mentions a 5 lb weight loss over 5 years in the study but doesn't address the unexplained weight gain in the first place.

I feel like I've just had the internet equivalent of the dr patting me on the hand and telling me it's all in my head. Get back to us when you've got something interesting to add to the conversation Dr.
12:07 PM on 10/19/2012
Brava, sunnydee07!!!

Oh, and that "5 (FIVE) pounds" --- BFD!!
11:20 AM on 10/19/2012
Walking at a brisk pace for 18 consecutive minutes (or more) twice a day has worked for me. Along with eating more fruits and vegetables, less refined flour and sugar, and eating more fish and less red meat. I haven't really been "dieting" as I don't count calories.. just more mindful. I hit a plateau, with plenty more to go... when I realized that the biking and planks that I have been doing is creating more muscle. My jeans are getting baggie in the legs and now, finally the waist, but the scale hasn't moved.

I will continue to use the scale to keep me in check, but the way my clothes fit, and all the clothes that I can finally wear again.. is a much better guide. Regardless, I feel more energetic. I feel better than I did 10 years ago.